N/A (NPI# 1861782898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861782898 |
| Entity Type | Organization |
| Organization Name | N/A |
| Other Organization Name | GLORIA PATRICK |
| Practice Address |
1318 Pennsylvania Ave Saint Louis MO 63133-1036 |
| Mailing Address |
1318 Pennsylvania Ave Pagedale MO 63133-1036 |
| Practice Telephone | 3144011466 |
| Mailing Telephone | 3144011466 |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2011-04-11 |
| Authorized Official Name | MS. GLORIA JEAN PATRICK (HOME AID) |
| Authorized Official Telephone | 3144011466 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 07397218 | MO | Residential Treatment Facilities |
| N | 320700000X | Residential Treatment Facility, Physical Disabilities | 07397218 | MO | Residential Treatment Facilities |
| Y | 323P00000X | Psychiatric Residential Treatment Facility | 07397218 | MO | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Gloria Patrick | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811428980 | N/a | Nurse Practitioner | 6045 Sw 162nd Ave, Miami, FL 33193-5805 | 2017-03-21 |
| 1346783776 | N/a | Exclusive Provider Organization | Av. Tecnologico 183, Nuevo Laredo, TAMAULIPAS 88275 | 2016-12-03 |
| 1871953216 | N/a | Community/Behavioral Health | 1203 Saint Lawrence Ave, Beloit, WI 53511-5067 | 2016-02-27 |
| 1205207511 | N/a | Home Health | 3051 Elyria Ave, Lorain, OH 44055-1449 | 2015-10-13 |
| 1245652247 | N/a | Home Health | 2261 S Sherman Cir, Apt. A204, Miramar, FL 33025-2294 | 2014-01-09 |
| 1871868927 | N/a | Skilled Nursing Facility | 3108 Island Ct, Jeffersonville, IN 47130-8058 | 2012-03-21 |
| 1801163118 | N/a | Registered Nurse | 29078 Providence Rd, Temecula, CA 92591-5597 | 2011-11-30 |
| 1871888388 | N/a | Assisted Living Facility | 2998 W Mcmicken Ave # 1, Cincinnati, OH 45225-2362 | 2011-06-13 |
| 1194055749 | N/a | Community/Behavioral Health | 4051 Lone Tree Way Ste C, Antioch, CA 94531-6204 | 2010-01-04 |
| 1134676588 | N/a | Clinic/Center | 25 Fanning St, Staten Island, NY 10314-5307 | 2016-09-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | N/A | 3117 Apple Rd Ne, Washington, DC 20018-1605 |
| Colorado Business Entities | n/a | 4165 Plum Creek Mdws Rd., Sedalia, CO 80135 |
| Washington State Corporations | N/A CEDAR HEIGHTS-52, A WASHINGTON LIMITED PARTNERSHIP | 999 3rd Ave #1900, Seattle, WA 98104 |
| Oregon Corporations, Companies and Business Names | N/A COLONNADE-83, LIMITED PARTNERSHIP | 920 Garden St Ste A, Santa Barbara, CA 93101 |
| Colorado Business Entities | N/A Courtney Downs-89, L.P. | 920 Garden Street, Suite A, Santa Barbara, CA 93101 |
| Washington State Corporations | N/A EAGLE RANCH-67 LIMITED PARTNERSHIP | 101 Capitol Way N, Olympia, WA 98501 |
| System for Award Management (SAM) Entities | N/A INDIVIDUAL | 900 N. Lake Shore Drive Apt 402, Chicago, IL 60611-1596 |
| Colorado Business Entities | N/A Lambertson Farms-86, L.P. | 920 Garden St Ste A, Santa Barbara, CA 93101-7465 |
| Washington State Corporations | N/A MARINERS' GLEN-68, LP | 920 Garden St, Santa Barbara, CA 93101 |
| Washington State Corporations | N/A MILL PLAIN-84, L.P. | 920 Garden St, Santa Barbara, CA 93101 |
| Street Address |
1318 PENNSYLVANIA AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63133-1036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417512757 | Brandi Antoinette Currie | Home Health Aide | 6740 Schofied, Saint Louis, MO 63133 | 2019-05-02 |
| 1417358201 | Whitney Stallings | Nurse's Aide | 7122 El Tora Ave, Saint Louis, MO 63133 | 2014-09-11 |
| 1326524604 | Daniel D Bekele LLC | Clinic/Center | 6113 Ridge Ave, Saint Louis, MO 63133 | 2018-07-19 |
| 1881085256 | Cassandra Elizabeth Rouse | Physician Assistant | 6763 Page Ave, Saint Louis, MO 63133 | 2015-02-06 |
| 1124220504 | Infiniti Home Care, Inc. | Technician | 1321 Pennsylvania Ave, Saint Louis, MO 63133-1035 | 2007-06-05 |
| 1114138260 | Shirley B. Dillard | Dentist | 7956 Page Ave, Saint Louis, MO 63133-1128 | 2007-05-24 |
| 1740815752 | Angela Steed | Home Health | 7737 Underhill Dr, Saint Louis, MO 63133-1133 | 2020-03-10 |
| 1255713038 | Crystal Renee Moseley | Mechanotherapist | 7809 Utica Dr, Saint Louis, MO 63133-1141 | 2015-06-29 |
| 1598371155 | Roshonda S Sanderson | Chore Provider | 1948 Raft Dr, Saint Louis, MO 63133-1152 | 2020-09-18 |
| 1780291005 | Bravehearts Loving Care LLC | Home Health | 1948 Raft Dr, Saint Louis, MO 63133-1152 | 2020-09-30 |
| Find all providers in zip 63133 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932369857 | Missouri Residential Care LLC | Psychiatric Residential Treatment Facility | 7700 Minnesota Ave, Saint Louis, MO 63111-3336 | 2008-06-13 |
| 1407058894 | K. F. Jammer Manor Inc. | Psychiatric Residential Treatment Facility | 5415 Thekla Ave, Saint Louis, MO 63120-2513 | 2007-06-05 |
| 1972705341 | K. F. Jammer Manor Inc. | Psychiatric Residential Treatment Facility | 1004 Pennsylvania Ave, Saint Louis, MO 63130-2325 | 2007-06-05 |
| 1841446804 | Lakeside Center | Psychiatric Residential Treatment Facility | 13044 Marine Ave, Saint Louis, MO 63146-2118 | 2008-08-11 |
| 1487721379 | State of Missouri | Psychiatric Residential Treatment Facility | 1901 Pennsylvania Ave, Saint Louis, MO 63133-1325 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023618014 | R &r Residential Care LLC | Psychiatric Residential Treatment Facility | 17025 Old Jamestown Rd, Florissant, MO 63034-1414 | 2020-10-28 |
| 1336596832 | Castlewood Treatment Center LLC | Psychiatric Residential Treatment Facility | 1268 Saint Paul Rd, Ballwin, MO 63021-8207 | 2016-05-16 |
| 1780043141 | Lisa Brown | Psychiatric Residential Treatment Facility | 5921 County Road 647, Hornersville, MO 63855-9811 | 2016-02-14 |
| 1073909511 | Weatherby & Associates, LLC | Psychiatric Residential Treatment Facility | 1323 N Washington St, Mexico, MO 65265-3352 | 2015-04-10 |
| 1073830139 | Castlewood Treatment Center LLC | Psychiatric Residential Treatment Facility | 1260 St. Paul Road, St. Louis, MO 63021 | 2010-04-29 |
| 1003000571 | House of Care Center | Psychiatric Residential Treatment Facility | 3744 Benton Blvd, Kansas City, MO 64128-2515 | 2007-08-28 |
| 1316130784 | Change Academy At Lake of The Ozarks | Psychiatric Residential Treatment Facility | 130 Calo Lane, Lake Ozark, MO 65049 | 2007-08-20 |
| 1841347499 | Compass Health, Inc. | Psychiatric Residential Treatment Facility | 1032 Crosswinds Court, Wentzville, MO 63385 | 2007-01-05 |
| 1013096544 | State of Missouri | Psychiatric Residential Treatment Facility | 1025 N Sprigg St, Cape Girardeau, MO 63701-4831 | 2006-11-03 |
| 1720165327 | Lakeland Hospital Acquisition, LLC | Psychiatric Residential Treatment Facility | 440 South Market Ave, Springfield, MO 65806-2026 | 2006-11-01 |
| Find all providers with the same taxonomy | ||||
| City | SAINT LOUIS |
| Zip Code | 63133 |
Please comment or provide details below to improve the information on N/A.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.